Provider Demographics
NPI:1881766947
Name:YANGO EUGENIO, MARIA CYNTHIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CYNTHIA
Last Name:YANGO EUGENIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 959116
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-9116
Mailing Address - Country:US
Mailing Address - Phone:815-544-6159
Mailing Address - Fax:815-544-6165
Practice Address - Street 1:1411 N. MCHENRY ROAD
Practice Address - Street 2:SUITE 126
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089
Practice Address - Country:US
Practice Address - Phone:847-821-1071
Practice Address - Fax:847-821-1077
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336-037275 (36-07369207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL370005563OtherRAILROAD MEDICARE
IL988170Medicare ID - Type Unspecified
E71092Medicare UPIN